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HomeMy WebLinkAboutPermit D09-204 - BNSF (BURLINGTON NORTHERN SANTA FE) - BUILDING DEMOLITIONBNSF - DEMO 12084 44 PL S D09 -204 Parcel No.: 3347400915 Address: 12084 44 PL S TUKW Suite No: Tenant: Name: BNSF DEMO Address: 12084 44 PL S , TUKWILA WA Contractor: Name: DERRICK CONSTR INDUSTRIES INC Address: 7217 W 128 ST , SAVAGE MN 55378 Phone: 952- 894 -0012 Contractor License No: DERRICI924O3 Value of Construction: Type of Fire Protection: Type of Construction: doc: IBC -10/06 V -B Citylkf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Contact Person: Name: DEAN JOHNSON Address: 6903 GRANGE RD NW , BEMIDJI MN 56601 Phone: 218 - 766 -9078 $15,000.00 DEVELOPMENT PERMIT Owner: Name: BNSF RAILWAY COMPANY Address: 2500 LOU MENK DR #AOB 3 , FORT WORTH TX 76131 Phone: Permit Number: D09 -204 Issue Date: 11/16/2009 Permit Expires On: 05/15/2010 * * continued on next page ** Expiration Date: 09/22/2010 DESCRIPTION OF WORK: REMOVE EXISTING BUILDING AND CLEAN UP AREA. Puget Sound Clean Air Agency Notification Case #: 200902095. Public Works ACTIVITIES INCLUDE EROSION CONTROL, SANITARY SEWER CAPPING AT THE PROPERTY LINE, WATER SERVICE CAPPING AT THE METER. Fees Collected: $892.89 International Building Code Edition: 2006 Occupancy per IBC: 0022 D09 -204 Printed: 11 -16 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: City (*Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. Start Time: Permit Number: D09 -204 Issue Date: 11/16/2009 Permit Expires On: 05/15/2010 End Time: Fill 0 c.y. End Time: Sanitary Side Sewer: Y Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non- Profit: N Water Main Extension: Private: Public: Water Meter: Permit Center Authorized Signature: I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie • , whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfo ce of work. I am authorized to sign and obtain this development permit. Signature: Date: /1— 05 Print Name: L k S 0 This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: IBC -10/06 N Date: D09 -204 Printed: 11 -16 -2009 Parcel No.: 3347400915 Address: 12084 44 PL S TUKW Suite No: Tenant: BNSF DEMO 1: ** *BUILDING DEPARTMENT CONDITIONS * ** • r City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: D09 -204 Status: ISSUED Applied Date: 09/28/2009 Issue Date: 11/16/2009 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 7: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 8: Contractor shall notify Public Works Project Inspector at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. 9: Contractor shall notify Public Works Project Inspector Mr. Dave Stuckle at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. 10: Work affecting traffic flows shall be closely coordinated with the City Project Inspector. Traffic Control Plans shall be submitted to the Inspector for prior approval. 11: Any material spilled onto any street shall be cleaned up immediately. 12: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 13: From October 1 through April 30, cover any slopes and stockpiles that are 3H: IV or steeper and have a vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. 14: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction approval. doc: Cond -10/06 D09 -204 Printed: 11 -16 -2009 • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 15: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. 16: Sewer and water utilities shall be plugged at the mains if they are to be abandoned. If they will be used again in the near future for a new building, they shall be capped at the property line and at the water meter respectively. doc: Cond -10/06 * *continued on next page ** D09 -204 Printed: 11 -16 -2009 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signatu .Go ,e1 Print Name: . •- - 4 0 0 doc: Cond -10/06 • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Date: // — g �T D09 -204 Printed: 11 -16 -2009 Property Owners Name: CITY OF TUKWIL Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citulcwila.wa.us Mailing Address: 2600 Lou Menk Dr. Name: Dean Johnson Mailing Address: 6903 Grange E - Mail Address: dejdciAhotmail.com Mailing Address: 7217 W . 12 8 St . Contact Person: Shane Johnson E - Mail Address: shave @dustcoating.com Contractor Registration Number: 602628533 bh 41 Building Permit No. }f = Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No.: 33M1 L ib b _ ©q I S Site Address: 12084 44th Place South (main Bldg.) Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑ ..No BNSF Railway Co. Company Name: Derrick Construction Industries, Inc. Bemis E -Mail Address: E -Mail Address: H:1ApplicationsWorms- Applications On Lne12009 Applications11-2009 - Pen it Application.doe Revised: 1 -2009 Ft. Worth City CONTACT PERSON — who do we contact when your permit is ready to be issued ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record TX State Day Telephone: (218) 766 -9078 City Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Savage State Zip 76131 Mn p 56601 State State Zip MN 55378 City State Zip Day Telephone: (800) 881 -5848 Fax Number: ( 894 -0126 Expiration Date: 09/22/2010 Company Name: Mailing Address: Zip City Contact Person: Day Telephone: Fax Number: ENGINEER OF RECORD t All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Zip City Contact Person: Day Telephone: Fax Number: Page 1 of 6 BUILDING PERMIT INFOION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ 15 Existing Building Valuation: $ Scope of Work (please provide detailed information): Remove Existing Buildings and clean up site Will there be new rack storage? ❑ Yes 0.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑.......Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1 /2 "x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Appbcanons\Fotms- Appbcanons On lme\2009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC I Floor 1,192 2nd Floor -- - - - - - - -- - 3` Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFOION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ 15 Existing Building Valuation: $ Scope of Work (please provide detailed information): Remove Existing Buildings and clean up site Will there be new rack storage? ❑ Yes 0.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑.......Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1 /2 "x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Appbcanons\Fotms- Appbcanons On lme\2009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh Page 2 of 6 PERMIT APPLICATION NOTES Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 OR AUTHORIZED AGENT: Signature: ,✓ Print Name: r a.sobt.. Mailing Address: 6703 lT w r c fed A) Date Application Expires: ( � I Date Application Accepted: q t ___ 0 9 H: Applications\Fonns- Applications On bne\2009 Applications\1 -2009 - Permit Application.doc Revised: 1 -2009 bh Date: 9- 2C' - h 9' Day Telephone: Z. / P 2G G-- ?D 71 A City /k State Staff Initials: Zip Page 6 of 6 QUANTITY IN CUBIC YARDS RATE Up to 50 CY Free 51 — 100 $23.50 101 — 1,000 $37.00 1,001 — 10,000 $49.25 10,001 — 100,000 $49.25 for I ST 10,000, PLUS $24.50 for each additional 10,000 or fraction thereof. 100,001 — 200,000 $269.75 for 1 100,000, PLUS $13.25 for each additional 10,000 or fraction thereof. 200,001 or more $402.25 for 1 200,000, PLUS $7.25 for each additional 10,000 or fraction thereof. BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees PROJECT NAME JF 'F!2 (200.4 (144- S If you do not provide contractor bids or an engineer's estimate with your permit application, Public Works will review the cost estimates for reasonableness and may adjust estimates. 1. APPLICATION BASE FEE 2. Enter total construction cost for each improvement category: Mobilization Erosion prevention Water /Sewer /Surface Water ( co e.64p p , 06, Road/Parking /Access A. Total Improvements 3. Calculate improvement -based fees: B. 2.5% of first $100,000 of A. C. 2.0% of amount over $100,000, but less than $200,000 of A. D. 1.5% of amount over $200,000 of A. 4. TOTAL PLAN REVIEW FEE (B +C +D) 5. Enter total excavation volume cubic yards Enter total fill volume cubic yards Use the greater of the excavation and fill volumes. GRADING Plan Review and Permit Fees Approved 09.25.02 Last Revised Jan. 2009 PERMIT # Use the following table to estimate the grading plan review and permit fee. The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the application /plan and 2) a follow -up review associated with a correction letter. Each additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee. S250 (1) $ (5) TOTAL PLAN REVIEW AND APPROVAL FEE DUE WITH PERMIT APPLICATION (1 +4 +5) $ (4) CORRECTION cm,�o�TU�nu+ LTR# 1 OCT 27 2009 tO � _ ��� PERMIT CENTER Copy Reprinted on 11 -16 -2009 at 13:08:47 11/16/2009 RECEIPT NO: R09 -01817 Initials: WER User ID: 1655 Total Payment: 900.00 Payee: DERRICK CONSTRUCTION INDUSTRIES INC SET ID: 1116 SET NAME: BNSF DEMOS SET TRANSACTIONS: Set Member D09 -203 D09 -204 D09 -205 TOTAL: ACCOUNT ITEM LIST: Description of Tukwila. Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431.3665 Web site: http: /4vww.ci.tukwila.wa.us Amount 300.00 300.00 300.00 300.00 PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW SET RECEIPT 000.322.100 000.342.400 000.345.830 TOTAL: • Payment Date: 11/16/2009 TRANSACTION LIST: Type Method Description Amount Payment Check 1014 900.00 TOTAL: 900.00 Account Code Current Pmts 750.00 75.00 75.00 900.00 PAYMENT RECEIVED Parcel No.: 3347400915 Address: 12084 44 PL S TUKW Suite No: Applicant: BNSF Receipt No.: R09 Initials: WER User ID: 1655 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Payee: DERRICK CONSTRUCTION INDUSTRIES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1008 592.89 Authorization No. ACCOUNT ITEM LIST: Description BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000/322.100 000/345.830 640.237.114 RECEIPT Account Code Current Pmts 356.60 231.79 4.50 Total: $592.89 Permit Number: D09 -204 Status: PENDING Applied Date: 09/28/2009 Issue Date: Payment Amount: $592.89 Payment Date: 09/28/2009 03:34 PM Balance: $0.00 doc: Receiot -06 Printed: 09 -28 -2009 Proj ect: rd S 6 4 0 Type of `pey , �, 0 Address: �4 122 C4 , Date Called: Special Instructions: Date Wanted: i l - Z4 . _a a p.m. Requester: Phone No: , -tom INSPECTION RECORD Retain a copy with permit D4 -2 _ PERMIT NO. j CITY OF TUKWILA BUILDING DIVISION t 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2(56)431 -36F0 INSPECTION NO. Approved per applicable codes. Corrections required prior to approval. A COMMENTS: 60 r c6x 6-4 Inspector Date: G El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: - 4 Gc.- U»I S C &ppe d a 'Ike_ F roFe 1 I I✓1e . FtflGtGT Address: 12 0 $4 4q e- 5 - U. r vocicr 1LAs rc move d £t1 i fe.+IArr1 ed 4r, 4.41 lti (iL P. "The_ .seru'Le A4 (AL i)aS (e th p(Acc for Pu4 c&r . l,&Se . Fj, -.ate A P.m. - F n &(e cP - , ,(Pose d F., IS we re c overed( wif in Sfraco l 4u (Ck - F «fie d - f 4k(P d • Project: $N SF D enno Type of spection: Y 1) F ( v i Address: 12 0 $4 4q e- 5 Date Called: II j -a3(o 1 Special Instructions: Date Wanted: ( 1 7. 4 f 01 � P.m. Requester: Phone No: 1.v 'ES Approved per applicable codes. INSPECTION RECORD Retain a copy with permit Dog -o4 PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 EJ Corrections required prior to approval. Inspector: 1)5 Date: II /74101 ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Pr c , is F Type q ection: \ f Ins Address: i -C�� ' 1. S� D at lle I,/ (s ' Special Instructions: Date Wantrd t a c ' r p.m. Re ester: 0 rl Phone No: 211 70 t -107? INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Approved per applicable codes. Corrections required prior to approval. COMMENTS: poke. krt- 414e Con+ (A or on - 010 54 6K . Inspector: 'Date: ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: • • • REVIEWED FOR CODE COMPLIANCE APPRAVED NOV 0 5 20U9 4- City of Tukwila BUILDING DIVISION FILE C Permit No. Plan review approval is erect to errors and omissions. Approval of construction documents does not authorize the violation of any adopted cue or ordinance. Receipt of approved Field Copy and onions is acledged: BY Date: City Of Ttikwila BUILDING DIVISION REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE` Revisions will require a new plan submittal and may include additional plan review fees. These plans have been reviewed by the Public Works Department for conformance with current City standards. Acceptance is subject to errors and omissions which do not authorize violations of adopted standards or ordinances. The responsibility for the adequac_• of the design rests totally with the designer. Additions, deletions or revisions to these drawings after this date will void this acceptance and will require a resubmittal of revised drawings for subsequent approval. Final acceptance is subject to field inspection by the Public Works utilities inspector. Date: By 10 )o/ p L/ 7 1k RECEIVED SEP 2 9 2009 TUKWILA PUBLIC WORKS Wp' T THE t YiT HE , Be CftP 4 4 , RECEIVED 5 .2 8 2- M(VIIT CENTEF FILE COPY PRE - DEMOLITION ASBESTOS NESHAP REPORT EMR PROJECT NO. 9049.001 Glessner (12094 44 Place South), Wang/Proctor (12092 44 Place South), and Wilkinson Properties (12084 44 Place South) Tukwila, WA 98178 For BNSF Railway Company Environmental Operations Department 2600 Lou Menk Drive Fort Worth, Texas 76131 CITVOF�TUKWII.A OCT 2 7 2009 PERMIT CEfdTER CORRECTION LTR# 1 -204 Inspected by: �o�- rocl Y 3.11E4 PRE- DEMOLITION ASBESTOS SURVEY REPORT EMR PROJECT NO. 9049.001 Glessner (12094 44 Place South), Wang/Proctor (12092 44 Place South), and Wilkinson Properties (12084 44 Place South) — Tukwila, WA 98178 David L. Welch & Shannon Adamson AHERA Asbestos Building Inspectors For BNSF Railway Company Environmental Operations Department 2600 Lou Menk Drive Fort Worth, Texas 76131 Prepared by: EMR, Inc. 3200 Haskell Avenue, Suite 140 Lawrence, Kansas 66047 (785) 842 -9013 September 2009 Prepared for EMR by: Amanda Thornton - DeWitt Environmental Scientist 1.0 INTRODUCTION 1 1.1 General Information 1 1.2 Pertinent Regulations 1 2.0 PURPOSE AND PROCEDURES 3 2.1 Building Inspection 3 2.2 Sample Collection and Analysis 4 2.3 Buildings or Areas Containing Asbestos Materials 4 2.4 Summary of Analytical Findings 5 3.0 LEAD -BASED PAINT 8 4.0 PROJECT SPECIFIC RECOMMENDATIONS 8 5.0 INSPECTION LIMITATIONS 9 LIST OF APPENDICES APPENDIX A - CONDITIONS AND CLASSIFICATIONS APPENDIX B - GLOSSARY APPENDIX C - ASBESTOS BUILDING INSPECTION DATA APPENDIX D - NOTIFICATION (S) APPENDIX E - CERTIFICATION (S) INDEX OF ASBESTOS BUILDING INSPECTION DATA (APPENDIX C) Summary of Building Inspection Data TABLE OF CONTENTS Photographs and/or drawings (if applicable) Building Information Project Completion Summary Sheet (if applicable) Laboratory Reports Chain(s) of Custody (COC) i Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 1.0 INTRODUCTION BNSF Railway Company (BNSF) retained EMR, Inc. (EMR) to conduct a pre - demolition asbestos building survey for the Glessner, Wang/Proctor, & Wilkinson Properties in Tukwila, Washington. This report describes the inspection procedures and presents the findings of the inspection. 1.1 General Information Site Address: Inspected by: Program Manager: Laboratory: Glessner, Wang/Proctor, & Wilkinson Properties 44 Place South Tukwila, WA Mr. David Welch, AHERA Certified Asbestos Building Inspector Accreditation # 25466 IR, expires December 3, 2009 Ms. Shannon Adamson, AHERA Certified Asbestos Building Inspector Accreditation # 10303315, expires December 10, 2009 Mr. Ric Cook EMR, Inc. 3200 Haskell, Suite 140 Lawrence, KS 66046 (785) 842 -9013, ext. 137 Seattle Asbestos Test 19711 Scribner Lake Rd, Suite D Lynnwood, WA 98036 (425) 673 -9850 Fax (425) 673 -9810 Date of Inspection(s): Glessner Property August 24, 2009 Wang/Proctor Property August 25, 2009 Wilkinson Property August 24 and 25 2009 1.2 Pertinent Regulations In the event of a planned asbestos removal project the State of Washington Asbestos Regulations should be consulted. Theses standards should also be consulted regarding planned demolition projects. Typically, certified and licensed asbestos abatement contractors will prepare the required notifications prior to a planned asbestos abatement project. No specific local regulations apply regarding asbestos building inspection 1 NESHAP Inspection NESHAP Inspection NESHAP Inspection Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 2.0 PURPOSE AND PROCEDURES EMR was directed by BNSF to inspect the Glessner, Wang/Proctor, & Wilkinson Properties for the purpose of identifying asbestos containing materials (ACM) that would be disturbed during planned demolition activities. This report identifies ACM present in the building as well as quantifying and determining the condition of all ACM at the site. 2.1 Building Inspection The survey began with a field description of the building (building information report), including facility, building name, city, building number, construction date, original owner, building construction type, floor construction material, building status, number of floors, approximate floor area, floor covering materials, roof materials, roof construction, ceiling materials, exterior wall construction/materials, interior wall construction /materials, HVAC type, HVAC insulation, building uses, building renovations, building owners, inspection history and homogenous areas. The Glessner Property shed /storage was constructed in the 1980's, and is an approximately 568 square feet one (1) story unoccupied structure. The vacant building is constructed of a wood frame on concrete foundation. The roofing is constructed of wood as is covered by asphaltic shingles and tar sealant on the chimney. The exterior walls are constructed of wood. The interior walls and ceiling are all constructed of sheetrock. The floor is constructed of wood with tar paper covering. The building is neither heated nor insulated. The Wang/Proctor Property was constructed in the 1960's, and is an approximately 1,192 square feet one (1) story unoccupied residential structure. The vacant building is constructed of a wood frame on concrete foundation. The roofing is constructed of wood and is covered by asphaltic shingles. The exterior walls are constructed of wood. The interior walls are constructed of wood, plaster board with smooth coat, and transite board on the back of a fake brick hearth. The ceiling is constructed of sheetrock and plaster board. The floor is constructed of wood and is covered by 9 -inch floor tile, wood, carpet, and vinyl floor covering. The building is heated by forced air and electric; and is insulated with fiberglass. The Wilkinson Property was constructed in the 1960's, and is an approximately 1,192 square feet one (1) story unoccupied structure. The vacant building is constructed of a wood frame on concrete foundation. The roofing is constructed of wood and is covered by asphaltic shingles and rubber rolled roof on the porch overhang. The exterior walls are constructed of wood. The interior walls are constructed of wood, sheetrock, and transite board on a fake brick hearth. The ceiling is constructed of 1' X 1' wood fiber ceiling tiles, 2' X 2' wood fiber ceiling tiles, and sheetrock. The floor is constructed of wood and is covered by wood, carpet, and vinyl floor covering. The building is heated by forced air and electric; and is insulated with fiberglass. The Wilkinson Property shed/storage was constructed in the 1980's, and is an approximately 374 square feet one (1) story unoccupied structure. The vacant building, used for storage, is constructed of a wood frame on concrete foundation. The roofmg is constructed of wood and is covered by asphalt sheeting. The exterior walls are constructed of wood. The interior walls and 2 Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 ceiling are all constructed of sheetrock. The floor is constructed of wood with plywood covering in some areas and bare wood in others. The building is neither heated nor insulated. Suspect materials were sampled and analyzed following the United States Environmental Protection Agency (USEPA) "Asbestos Hazard Emergency Response Act" ( AHERA) sampling protocol. Samples were submitted to a National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory and analyzed using Polarized Light Microscopy (PLM) to determine asbestos content. Conditions and Classifications can be found in Appendix A. The Glossary is located in Appendix B. Appendix C presents the building inspection data for each structure and contains the following information for the buildings: 1. Asbestos Containing Materials Summary 2. Photographs and/or drawings (if applicable) 3. Building Information Sheet 4. Laboratory Reports 5. Chain -of- Custody 2.2 Sample Collection and Analysis Suspect materials were sampled and analyzed following the EPA "Asbestos Hazard Emergency Response Act" (AHERA) and State of Washington sampling protocol. Samples were submitted to a National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory and analyzed using Polarized Light Microscopy (PLM) to determine asbestos content. The analytical procedure followed is that described in the "Interim Method for the Determination of Asbestos in Bulk Insulation Samples," recommended by the EPA in Appendix A to Sub -part F of 40 CFR Part 763., (REF 1). Based on these guidelines, suspect material was considered not to contain asbestos only if the results of all samples required to be collected from the homogeneous area were determined to have no detectable concentrations of asbestos by PLM. Those materials analyzed and determined to contain greater than 1% asbestos were considered ACM. The laboratory provided written verification of each sample submitted and analyzed with appropriate chain -of- custody documentation. The laboratory certificates are located in Appendix C of this report. Upon collection all samples were assigned a unique sample number consisting of four letters followed by three letters and then a number. The first four letters identify the state and city where the site is located. The second set of letters identifies the building where the sample was collected. The number identifies the specific sample collected from that building. 3 Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 2.3 Buildings or Areas Containing Asbestos Materials Materials found to contain asbestos combined with materials assumed to contain asbestos are segregated into three material classes (friable, non - friable category II and non - friable category D that are recognized for any given survey. All friable ACM shall be maintained in good condition with no damage present. Friable ACM are materials containing more than 1% asbestos, that can be crumbled, pulverized or reduced to powder by hand pressure when dry. Category 1 non - friable ACM includes any resilient material containing more than 1% asbestos, that when dry cannot be crumbled, pulverized, or reduced to powder by hand pressure, and as such should not release fibers when in good condition. Conversely, category II non - friable ACM includes any non - resilient material containing more than 1% asbestos, that when dry cannot be crumbled, pulverized, or reduced to powder by hand pressure, and as such should not release fibers when in good condition. 2.4 Summary of Analytical Findings The Asbestos - Containing Materials Summary includes sample number, material description, general area, material category, material class, quantity, material condition, asbestos type and asbestos percentage for all suspect materials identified and sampled in the course of the building survey (see APPENDIX C- Building Inspection Data). Glessner Property > A total of seven (7) samples were collected for PLM analysis for asbestos content from the Glessner Property during the NESHAP inspection conducted on August 24, 2009. > Six (6) of the samples were found to be non - detect for asbestos or less than 1% asbestos by the PLM -400 Point Count Method and are listed as follows: o Sample TUWA -GLEP -001 Asphalt Shingle [NON -ACM] o Sample TUWA -GLEP -003 Sheetrock composite [NON -ACM] o Sample TUWA -GLEP -004 Wall/ Ceiling texture [NON -ACM] o Sample TUWA -GLEP -005 Wall/ Ceiling texture [NON -ACM] o Sample TUWA -GLEP -006 Wall/ Ceiling texture [NON -ACM] o Sample TUWA -GLEP -007 Floor Felt [NON -ACM] ➢ One (1) of the samples was found to contain asbestos and is listed as follows: o Sample TUWA -GLEP -001 Chimney Sealant [2% Chrysotile] 4 Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 Note: All materials containing asbestos will be removed during the Asbestos Abatement Project that is scheduled to be conducted on September 21, 2009. Wang/Proctor Property ➢ A total of nineteen (19) samples were collected for PLM analysis for asbestos content from the Wang/Proctor Property during the NESHAP inspection conducted on August 25, 2009. > Sixteen (16) of the samples were found to be non - detect for asbestos or less than 1% asbestos by the PLM -400 Point Count Method and are listed as follows: Wilkinson Property o Sample TUWA- PROP -001 Asphalt Shingle [NON -ACM] o Sample TUWA- PROP -002 Roofmg Felt [NON -ACM] o Sample TUWA- PROP -003 Window Putty [NON -ACM] o Sample TUWA- PROP -004 Vinyl Sheeting [NON -ACM] o Sample TUWA- PROP -007 Smooth Coat/ Plaster Board [NON -ACM] o Sample TUWA- PROP -008 Wallpaper Backing [NON -ACM] o Sample TUWA- PROP -009 Vinyl Sheeting [NON -ACM] o Sample TUWA- PROP -010 Vinyl Sheeting [NON -ACM] o Sample TUWA- PROP -011 Vinyl Sheeting [NON -ACM] o Sample TUWA- PROP -012 Wallpaper/Wallboard [TRACE <1 %]* o Sample TUWA- PROP -013 Painted Fabric Behind Wood [NON -ACM] o Sample TUWA-PROP-014 Wallpaper/Wallboard [NON -ACM] o Sample TUWA- PROP -015 Ceiling Plaster [NON -ACM] o Sample TUWA- PROP -016 Plaster Composite [NON -ACM] o Sample TUWA- PROP -017 Panel Mastic [NON -ACM] o Sample TUWA- PROP -019 Ceramic/Brick [NON -ACM] *Analyzed using the PLM -400 Point Count Method > Three (3) of the samples were found to contain asbestos and are listed as follows: o Sample TUWA- PROP -005 Red 9 -inch floor tile [2% Chrysotile] o Sample TUWA- PROP -006 Grey/brown 9 -inch floor tile [2% Chrysotile] o Sample TUWA- PROP -018 Transite -like backer board [18% Chrysotile] Note: All materials containing asbestos will be removed during the Asbestos Abatement Project that is scheduled to be conducted on September 21, 2009. ➢ A total of fourteen (14) samples were collected for PLM analysis for asbestos content from the Wilkinson Property during the NESHAP inspection conducted on August 24th and 25th, 2009. 5 Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 > Eleven (11) of the samples were found to be non - detect for asbestos or less than 1% asbestos by the PLM -400 Point Count Method and are listed as follows: o Sample TUWA -WILP -002 o Sample TUWA -WILP -003 o Sample TUWA -WILP -004 o Sample TUWA -WILP -005 o Sample TUWA -WILP -006 o Sample TUWA -WILP -009 o Sample TUWA -WILP -010 o Sample TUWA -WILP -011 o Sample TUWA -WILP -012 o Sample TUWA -WILP -013 o Sample TUWA -WILP -014 *Analyzed using the PLM -400 Point Count Method > Three (3) of the samples were found to contain asbestos and are listed as follows: o Sample TUWA -WILP -001 o Sample TUWA -WILP -007 o Sample TUWA -WILP -008 Roofing Felt Asphalt Shingle Rolled Asphalt Roofing Felt Sheetrock Composite Sheetrock Composite 12" Floor Tile/Mastic Vinyl Sheeting Wall Texture Wall Texture Wall Texture Window Putty Vinyl Sheeting Transite -like backer board [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [TRACE <1 %]* [NON -ACM] [NON -ACM] [3% Chrysotile] [51% Chrysotile] [17% Chrysotile] Note: All materials containing asbestos will be removed during the Asbestos Abatement Project that is scheduled to be conducted on September 21, 2009. 6 Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 3.0 LEAD -BASED PAINT The Department of Housing and Urban Development (HUD) defines lead -based paint as anything greater than 5,000 mg/kg or 0.5% by weight. EMR did not perform a lead -based paint (LBP) inspection for this report. Lead -based paint does not have to be removed prior to demolition; however, construction and demolition activities that disturb LBP material create lead dust, fumes, or vapors require worker protection and training in accordance with State regulations. 4.0 PROJECT SPECIFIC RECOMMENDATIONS Asbestos - containing materials were confirmed in the Glessner, Wang/Proctor, & Wilkinson Properties. EMR recommends that all asbestos- containing materials greater than 1% by weight be removed by a certified asbestos removal contractor prior to demolition activities conducted by others. The certified asbestos removal contractor is responsible for any NESHAP notifications to the state agency responsible for NESHAP regulation prior to any planned removal activities. The demolition contractor is responsible for any NESHAP notifications to local, state, and federal agencies prior to demolition. Demolition of materials containing trace /less than 1% asbestos can be demolished in -place without licensed abatement contractor removal. However, we recommend that demolition workers wear HEPA- cartridge respirators during demolition activities until a negative exposure assessment documents there are no airborne fiber hazards. The negative exposure assessment (NEA) would consist of OSHA - compliance air monitoring during the course of demolition. 7 Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 5.0 INSPECTION LINIITATIONS This assessment was completed following generally accepted engineering, investigative and analytical practices of other consultants undertaking similar studies at the same time and in the same geographical area. The findings and conclusions stated herein are based on scientific evaluation of material samples and represent professional opinions concerning the significance of the limited data gathered during the assessment. No other warranty, express or implied, is made. Reuse of this report for any other purpose without EMR's written authorization shall be at the Client's risk. The Client agrees to indemnify and hold harmless EMR from all actions, claims, damages, and expense, including attorney fees, arising out of any unauthorized reuse. EMR, Inc. Prepared for the Company By: Reviewed for the Company By: Amanda Thornton - DeWitt Environmental Scientist 8 David L. Welch L.G. Project Design Manager David L. Welch CONDITIONS AND CLASSIFICATIONS Surfacing and Miscellaneous Materials Significantly Damaged Condition - Material with one or more of the following characteristics: 1. Surface crumbling or blistered over at least one tenth of the surface if the damage is evenly distributed (one quarter, if the damage is localized). 2. One tenth (one quarter, if localized) of material hanging from surface, deteriorated, or showing adhesive failure. 3. Water stains, gouges, or mars over at least one tenth of the surface if the damage is evenly distributed (one quarter if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. Damaged Condition (poor condition) - material with the following characteristics: 1. The surface crumbling, blistered, water - stained, gouged, marred or otherwise abraded over less than one tenth of the surface if the damage is evenly distributed, (one quarter, if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on the surfaces beneath the material can be used as confirmatory evidence. Good Condition - material with no visible damage or deterioration, or showing only very little damage or deterioration. Thermal System Insulation Significantly damaged condition - material with one or more of the following: 1. Missing jackets on at least on tenth of the piping or equipment. 2. Crushed or heavily gouged or punctured insulation an at least on tenth of pipe runs /risers, boilers, tank, duct, etc. if the damage is evenly distributed (one quarter, if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the pipe/boiler, etc., can be used as confirmatory evidence. Damaged Condition (poor condition) - material with one or more of the following characteristics: 1. A few water stains or less than one tenth of the insulations with missing jackets. 2. Crushed insulation or water stains, gouges, punctures, or mars on up to one tenth of the insulation if the damage is evenly distributed (or up to one quarter, if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the pipe/boiler /tank, etc. can be used as confirmatory evidence. Good Condition - material with no visible damage, deterioration, or showing only very limited damage or deterioration. CONDITIONS AND CLASSIFICATIONS (CONT.) Potential for Damage to Asbestos Containing Materials Potential for Significant Damage - The material is subject to major or continuing disturbance, due to factors including, but not limited to, accessibility. 1. The ACM is in an area regularly used by building occupants and there is a reasonable likelihood that the material or it's cover will become significantly damaged, deteriorated, or delaminated due to factors such as changes in building use, changes in operations and maintenance practices, changes in occupancy, or recurrent damage. Potential for Damage - The material is subject to disturbance or damage, due to factors including but not limited to accessibility. 1. The Asbestos Containing Material is in an area regularly used by building occupants and there is a reasonable likelihood that the material or it's cover will become damaged, deteriorated, or delaminated due to factors such as changes in building use, changes in operations and maintenance practices, changes in occupancy, or recurrent damage. 2. Crushed insulation or water stains, gouges, punctures, or mars on up to one tenth of the insulation if the damage is evenly distributed (or up to one quarter, if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the pipe/boiler /tank, etc. can be used as confirmatory evidence. Good Condition - material with no visible damage, deterioration, or showing only very limited damage or deterioration. Potential for Damage to Asbestos Containing Materials Potential for Significant Damage - The material is subject to major or continuing disturbance, due to factors including but not limited to accessibility. 1. The ACM is in an area regularly used by building occupants and there is a reasonable likelihood that the material or it's cover will become significantly damaged, deteriorated, or delaminated due to factors such as changes in building use, changes in operations and maintenance practices, changes in occupancy, or recurrent damage. Potential for Damage - The material is subject to disturbance or damage, due to factors including but not limited to accessibility. 1. The Asbestos Containing Material is in an area regularly used by building occupants and there is a reasonable likelihood that the material or it's cover will become damaged, deteriorated, or delaminated due to factors such as changes in building use, changes in operations and maintenance practices, changes in occupancy, or recurrent damage. APPENDIX B - GLOSSARY GLOSSARY Amount The estimate of asbestos- containing material based on field measurements. Asbestos Type Includes the type of asbestos (chrysotile, amosite, etc.). Category Asbestos containing materials and presumed asbestos containing materials are categorized into three categories: • Miscellaneous Material: Interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. • Thermal System Insulation (TSI): Material in a facility applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. • Surfacing Material: Surfacing material that is ACM. Surfacing material means material in a building that is sprayed -on, troweled -on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or the materials on surfaces for acoustical, fireproofing, or other purposes. Class Asbestos containing materials and presumed asbestos containing materials are categorized into three categories: • Friable: Materials containing more than 1% asbestos that when dry can be crumbled, pulverized, or reduced to powder by hand pressure. • Non - friable category I: Any resilient material containing more than 1% asbestos that when dry cannot be crumbled, pulverized, or reduced to powder by hand pressure. • Non - friable category II: Any non - resilient material containing more than 1% asbestos that when dry cannot be crumbled, pulverized, or reduced to powder by hand pressure. Condition Ranking of materials: good, damaged or significantly damaged. Description Material inspected and sampled (i.e. 9" floor tile, sheetrock, transite shingle, etc.). General Area The homogeneous material as it exists throughout the facility. GLOSSARY (CONT.) Percent Percent by volume of the type of asbestos contained in the material. Sample Number Identifies the facility, state /city and the number assigned. Units The units of the quantity are given as square feet (S.F.) or linear feet (L.F.) APPENDIX C - ASBESTOS BUILDING INSPECTION DATA EMR Project #9049.001- BNSF Railway Co, Wilkinson Property, Tukwila, Washington -- Remove approximately 354 S.F. of vinyl sheeting and attached wood underlayment from kitchen, nook, laundry room and laundry room bath. -- Remove approximately 40 S.F. of transite backerboard and attached fake brick tiles from hearth wall in living room. -- Remove two 3' x 4' windows (24 S.F.) with ACM window putty from kitchen nook exterior windows. (_) C.B. C S E Legend Vinyl Sheeting on wood underlayment (354 S.F.) Non -ACM 12 -inch floor tile (32 S.F.) Transite backer board under fake brick hearth wall in living room (40 S.F.) Exterior Window with ACM Window Putty (24 S.F.) Critical Barrier Wall (poly) 3 -stage decon /entry (c =clean room; s= shower; e= equipment room) Negative Air Machine INCORPORATED Covered Porch BNSF Railway Co. Wilkinson Property Pre -Demo Tukwila, WA Living Room DRAWN BY: DLw DATE: 8/26/0 CHECKED BY: TP REVISION NO. 1 PROJECT NO, 9049 - 001 REFERENCE: Sliding Glass Doors SCALE: 1 /8 "= Approximately 1' FIGURE 1 Back Entry BNSF Railway Co. Wang /Proctor Property Pre -Demo Tukwila, WA Living Room Laundry/Den Dining Rm Hearth EMR Project #9049.001- BNSF Railway Co, Wang /Proctor Property, Tukwila, Washington — Remove approximately 111 S.F. of red ACM 9 -inch floor tile, non -ACM black mastic, overlying hard wood flooring and non -ACM vinyl sheeting from kitchen. — Remove approximately 111 S.F. of gray ACM 9 -inch floor tile, non -ACM black mastic, overlying hard wood flooring and non -ACM vinyl sheeting from kitchen. -- Remove approximately 40 S.F. of transite backer board on fake brick hearth wall in living room. SCALE: 1 /8 "= Approximately 1' C E adX C.B Legend 9 -inch floor tile (ACM) and underlying mastic (non -ACM) with overlying hard wood floors and non -ACM vinyl sheeting (approximately 222 S.F.) Transite wallboard on fake brick hearth wall (40 S.F.) 2 -stage decon/entry (c =clean room; e= equipment room) Negative Air Machine Critical Barrier Wall (poly) EMR INCORPORATED DRAWN BY: CHECKED BY: TP PROJECT NO. 9049 -001 DATE: 8/26/09 REVISION NO. 1 REFERENCE: 42' -1 GURE 2 • EMR Project No. 9049.001 Pre-demolition NESHAP Report Glessner, Wang/Proctor, and Wilkinson Properties 44th Place South Tukwila, WA 98178 Photo 1: Glessner, Wang/Proctor, and Wilkinson Properties 17 C 0 a 1. (7 A 7 C 0 EMR Project No. 9049.001 Pre - demolition NESHAP Report Glessner, Wang/Proctor, and Wilkinson Properties 44th Place South Tukwila, WA 98178 Photos 2 -5: Glessner, Wang/Proctor, and Wilkinson Properties EMR Project No. 9049.001 Pre - demolition NESHAP Report Glessner, Wang/Proctor, and Wilkinson Properties 44th Place South Tukwila, WA 98178 Photos 6 -9: Glessner, Wang /Proctor, and Wilkinson Properties it,4 Jfi i' G Fn I k t EMR Project No. 9049.001 Pre - demolition NESHAP Report Glessner, Wang/Proctor, and Wilkinson Properties 44th Place South Tukwila, WA 98178 Photos 10 -11: Glessner, Wang/Proctor, and Wilkinson Properties Inspector Name: Building Name (s): Street Address: City, State: Date: Const. Date: Latitude: Longitude: Building Status: BUILDING USES: Offices Storage 3reak/Locker Room Vacant Shannon Adamson /Dave Welch Glessner Shed /Storage 44th Place South Tukwila, WA 98178 BUILDING INFORMATION SHEET 8/24/2009 1980's Number of Floors: 1 Bldg. Sq. Ft: 568 0 In -Place BUILDING CONST. ( check all that apply) ❑ Sold Wood Frame El ID Demo (planned) Steel Frame ❑ Masonry ❑ Brick ❑ Concrete Block ❑ Other ❑ 100 % FLOOR CONST. (check all that apply) Wood El HVAC SYSTEM Metal ❑ Boiler Steam ❑ Concrete ❑ Boiler Ht. Water ❑ Earth ❑ Forced Air ❑ Other ❑ Space Heater ❑ Radiant Heat ❑ FLOOR COVERING (check all that apply) Electric ❑ 12" Floor Tile ❑ None El 9" Floor Tile ❑ Vinyl Floor Covering ❑ HVAC INSULATION Ceramic Tile ❑ Aircell ❑ Wood ❑ Fiberglass ❑ Carpet ❑ Calc. Silicate ❑ None ❑ Mudded Joints ❑ Other © Tar Paper Mineral Wool ❑ None © ROOFING CONST. (check all that apply) Metal ❑ Updated Field Sketch Wood 0 Yes O Other ❑ No ❑ ROOFING MATERIAL (check all that apply) Asphalt Shingle IEJ Metal ❑ Transite Shingle ❑ Asphalt Sheeting ❑ Asphalt Flashing ❑ Tar & Gravel ❑ Roofing Felt ❑ Other LJ Tar Sealant- Chimney CEILING MATERIAL (check all that apply) 1'X1' Ceiling Tile ❑ 2'x2' Ceiling Tile ❑ 2'x4' Ceiling Tile ❑ Transite Board ❑ Metal ❑ Wood ❑ Sheetrock Other ❑ EXTERIOR WALL (check all that apply) Wood El Metal ❑ Transite Board ❑ Brick ❑ Block ❑ Stucco ❑ Other ❑ INTERIOR WALL (check all that apply) 0 0 0 0 0 0 0 0 x❑ Wood Metal Transite Board Sheetrock Plaster Wall Texturing Masonry Brick Block Other ❑ Inspector Name: Building Name (s): Street Address: City, State: Date: Const. Date: Latitude: Longitude: Building Status: BUILDING USES: Offices % Storage % Ireak/Locker Room % Vacant 100 % HVAC SYSTEM Boiler Steam ❑ Boiler Ht. Water ❑ Forced Air IXI Space Heater ❑ Radiant Heat ❑ Electric El None ❑ HVAC INSULATION Aircell ❑ Fiberglass Calc. Silicate ❑ Mudded Joints ❑ Mineral Wool ❑ None ❑ Updated Field Sketch Yes El No ❑ David L. Welch Wang /Proctor Residence 44th Place South Tukwila, WA 98178 BUILDING INFORMATION SHEET 8/25/2009 1960's Number of Floors: 1 Bldg. Sq. Ft: 1,192 0 In -Place ❑ Sold E] Demo (planned) BUILDING CONST. ( check all that apply) Wood Frame IKI Steel Frame Masonry Brick Concrete Block Other FLOOR CONST. (check all that apply) Wood lE Metal ❑ Concrete ❑ Earth ❑ Other ❑ 12" Floor Tile 9" Floor Tile Vinyl Floor Covering Ceramic Tile Wood Carpet None Other o 0 0 0 o FLOOR COVERING (check all that apply) 0 Ill 0 El 0 0 ROOFING CONST. (check all that apply) Metal ❑ Wood El Other ❑ ROOFING MATERIAL (check all that apply) Egi 0 0 0 0 0 0 0 Asphalt Shingle Metal Transite Shingle Asphalt Sheeting Asphalt Flashing Tar & Gravel Roofing Felt Other CEILING MATERIAL (check all that apply) 1'X1' Ceiling Tile ❑ 2'x2' Ceiling Tile ❑ 2'x4' Ceiling Tile ❑ Transite Board ❑ Metal ❑ Wood ❑ Sheetrock Other ® Plaster Board EXTERIOR WALL (check all that apply) Wood El Metal ❑ Transite Board ❑ Brick ❑ Block ❑ Stucco ❑ Other ❑ INTERIOR WALL (check Wood I] Metal ❑ Transite Board El Sheetrock ❑ Plaster 0 Wall Texturing ❑ Masonry ❑ Brick ❑ Block ❑ Other ❑ all that apply) Fake brick heater backer Board w/ smooth coat Inspector Name: Building Name (s): Street Address: City, State: Date: Const. Date: Latitude: Longitude: Building Status: BUILDING USES: Offices Storage 3reak/Locker Room Vacant Boiler Steam Boiler Ht. Water Forced Air Space Heater Radiant Heat Electric None HVAC SYSTEM 0 0 D Shannon Adamson /Dave Welch Wilkinson Property 44th Place South Tukwila, WA 98178 8/24/2009 1960's Number of Floors: Bldg. Sq. Ft: BUILDING INFORMATION SHEET 1 1,192 ❑ In -Place BUILDING CONST. ( check all that apply) ❑ Sold Wood Frame D D Demo (planned) Steel Frame ❑ Masonry ❑ Brick ❑ Concrete Block ❑ Other ❑ 100 % FLOOR CONST. (check all that apply) Wood D Metal ❑ Concrete ❑ Earth ❑ Other ❑ ❑ FLOOR COVERING (check all that apply) x❑ 12" Floor Tile ❑ ❑ 9" Floor Tile ❑ Vinyl Floor Covering D HVAC INSULATION Ceramic Tile ❑ Aircell ❑ Wood D Fiberglass D Carpet D Calc. Silicate ❑ None ❑ Mudded Joints ❑ Other ❑ Mineral Wool ❑ None ❑ ROOFING CONST. (check all that apply) Metal ❑ Updated Field Sketch Wood D Yes D Other ❑ No ❑ ROOFING MATERIAL (check all that apply) Asphalt Shingle D Metal ❑ Transite Shingle ❑ Asphalt Sheeting ❑ Asphalt Flashing ❑ Tar & Gravel ❑ Roofing Felt ❑ Other D CEILING MATERIAL (check all that apply) 1'X1' Ceiling Tile D Wood Fiber 2'x2' Ceiling Tile D Wood Fiber 2'x4' Ceiling Tile ❑ Transite Board ❑ Metal ❑ Wood ❑ Sheetrock D Other ❑ EXTERIOR WALL (check all that apply) Wood D Metal ❑ Transite Board ❑ Brick ❑ Block ❑ Stucco ❑ Other ❑ INTERIOR WALL (check all that apply) Wood D Metal ❑ Transite Board D Sheetrock D Plaster ❑ Wall Texturing ❑ Masonry ❑ Brick ❑ Block ❑ Other ❑ Rubber Rolled Roof on Porch Overhang Fake Brick Hearth in Living Room Inspector Name: Building Name (s): Street Address: City, State: Date: Const. Date: Latitude: Longitude: Building Status: HVAC SYSTEM Boiler Steam ❑ Boiler Ht. Water ❑ Forced Air ❑ Space Heater ❑ Radiant Heat ❑ Electric ❑ None rKI Updated Field Sketch Yes No ❑ Shannon Adamson/Dave Welch Wilkinson Shed /Storage 44th Place South Tukwila, WA 98178 8/24/2009 1980 INJ In -Place ❑ Sold CI Demo (planned) BUILDING USES: Offices (Vacant) Storage 100 % 3reak/Locker Room Shop Number of Floors: BUILDING INFORMATION SHEET Bldg. Sq. Ft: 374 BUILDING CONST. ( check all that apply) Wood Frame ID Steel Frame ❑ Masonry ❑ Brick ❑ Concrete Block ❑ Other ❑ FLOOR CONST. (check all that apply) Wood Metal ❑ Concrete ❑ Earth ❑ Other ❑ FLOOR COVERING (check all that apply) 12" Floor Tile ❑ 9" Floor Tile Vinyl Floor Covering ❑ HVAC INSULATION Ceramic Tile ❑ Aircell ❑ Wood Fiberglass ❑ Carpet Calc. Silicate ❑ None Mudded Joints ❑ Other ❑ Mineral Wool ❑ None IM 0 0 1 ROOFING CONST. (check all that apply) Metal ❑ Wood Other ❑ ROOFING MATERIAL (check all that apply) 0 ❑ 0 0 0 Asphalt Shingle Metal Transite Shingle Asphalt Sheeting Asphalt Flashing Tar & Gravel Roofing Felt Other CEILING MATERIAL (check all that apply) 1'X1' Ceiling Tile ❑ 2'x2' Ceiling Tile ❑ 2'x4' Ceiling Tile ❑ Transite Board Metal Wood Sheetrock Other EXTERIOR WALL (check all that apply) 0 0 ❑ 0 0 0 Wood Metal Transite Board Brick Block Stucco Other INTERIOR WALL (check all that apply) Wood ❑ Metal ❑ 0 IKJ 0 0 0 0 ❑ Transite Board Sheetrock Plaster Wall Texturing Masonry Brick Block Other ❑ ❑ ❑ I� ❑ Lab ID Client Sample ID Layer Description , � � Asbestos Fibers Non - Fibrous Components , INon- asbestos I Fibers 1 TLWA -GLEP -001 1 Black asphaltic material with sand None detected Asphalt/binder, Sand 1 25 Glass fibers 1 2 TUWA -GLEP -002 1 Black asphaltic material 2 Chrysotile Asphalt/binder 2 Cellulose 3 TUWA - GLEP -003 1 White powdery material with yellow woven fibrous material and paint None detected Binder /filler, Paint 17 Glass fibers, Cellulose 2 White chalky material with paper None detected Binder /filler Gypsum /binder 25 Cellulose 4 TUWA - GLEP -004 1 White powdery material with paint and paper None detected Binder, Filler, Paint 26 Cellulose 5 TUWA - GLEP -005 1 White powdery material with paint None detected Binder /filler, Paint 5 Cellulose 6 TUWA -GLEP -006 White powdery 1 material with paint and paper Black asphaltic 1brous material None detected None detected Binder, Filler, Paint Filler, Asphalt, Binder 18 67 Cellulose Cellulose 7 TUWA -GLEP -007 SEATTLE ASBESTOS TEST, LLC Lynnwood Laboratory: 19711 Scriber Lake Rd. Suite D. Lynnwood. WA 98036: Tcl: 425.673.9850. Fax:425.673.9810 Bellevue Laboratory: 12727 Northup Way. Suite 24, Bellevue, WA 98005: Tel: 425.861.1 t 11, Fax: 425.861.1 118 Website: http :; /www.scattleashestostest.com, E-mail: admin!useatticasbestostestcom Attn.: Mr. Tom Patnode Client: EMR, Inc. Address:2635 151st PI. NE Redmond, WA 98052 ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 93/116 Project: BNSF TUKWILA NESHAP, GLESSNER PR, TUKWILA, WA Analyzed by: Liz Dutton/Weilong Tai Client Job #:9049.001 Laboratory Batch #: 200960072 Date Received: 8/25/2009 Samples Received: 7 Date Analyzed: 8/26/2009 Samples Analyzed: 7 Page 1 of 1 NVLAP Accreditation Lab Code: 200768 -0 Report reviewed by: Stec Fcyao) Zhang, President Test, LLC CHAIN -OF- CUSTODY: ASBESTOS MANAGEMENT Lab Report Na P 0. No: Lab. Project Name: Lab. Project No. Project No j C1 ' 4 L•+ 00 1 Project/Client Name' �r.`,S 'T IA fL'.v r 1_A Ni YG {{/�j? Turn Around Time (Check one) ❑ 2 Hr. ❑ 4 Hr, 24 Hi. ❑ 3 -5 Days ❑ nthei:(desci'be) \ • 7 :7 - Build C SS J L -(Z. r " • 1 Hr. City. State: 1(;( I i,,,l 1 L ;i l r I •' • 48 Hr. Send Lab Results lo: Tom Patnode 2635 151st Place NC, Redmond, WA 98052 Tel: 425.861.4561: tax: 425.869.7820: tpatnnde@emr- inc.enm ASBESTOS (Bulk) ASBESTOS (Air) Analysis Requested El PLM • PLM (EPA Point Ct.) • PI.M (EPA Gravimetry) (EPA/600/R- 93/116) ❑ SOILS ❑ lEM (Bulk) • PCM • TFM (NIOSH 7402) • TEM (EPA Level II) S.A.T. Lab ID # EMR Sample # T>A. W A — (41 EP - Q O I -o v 7 Date rr4I �l C 1 • Time 1{ C Sample Description a t � - i ,e4 r)r g iii / l C 4/A1A, E _ Y SI_ t -i/. I l c. Sample Location , �: -4.. .,,, or , l •.» ; 0` a -- t I t 4- (2 i I L:= , i.- .7 e 1 . i C ) .4 , c 1C . -or 1 , )MML [ ' - i/ , , , \i'cz, tic iGif`. :,�., . LA_ it t . ., _F r f o(f ! t-00 r[_'TJ .7: , f 1._( Prim Below Sirn- Belo Compan Date Time Sampled by: IMP. , 'L r 2_L(t � ...",2 . : , 6 -1.-..:), Relinquished b Received by: �1 �+E 4 r �olou i r ,�r� '� WEN C--' f •LI , ,7? / 9 ft " Y> -N - ` Anal ed b . _ '� i ` .,—� y_ . � ~ .� Results Faxed b : 111111E SPECIAL INSTRUCTIONS: - veG "7 /2 ,,. p'v (...:„ ,`, CV ' �� 1 ! ?17� () 0 0 Ship 7o: 11 Scriber e Road Suite D Lynnwood. A 98036 W Ph# 425.673.9850 Fax# 425.673.9810 ATTN: Steve 7_hany SEND INVOICE TO! Name: Company: Address: City, State, Zip: Tom Patnode EMR, Inc. 2635 151st Place NE Redmond, WA 98052 Condition of Package upon Receipt; ❑ good • damaged ❑ severe damage Seattle Asbestos REQUEST FOR LABORATORY ANALYTICAL SERVICES/ #aooq( 7 a Page: 1 0[ 1 Lab ID Client Sample ID Layer Description oho Asbestos Fibers Non- Fibrous Components , Non- asbestos Fibers 1 TUWA -PROP -001 1 Black asphaltic material with sand None detected Asphalt/binder, Sand 25 Glass fibers 2 TUWA -PROP -002 1 Black asphaltic fibrous material None detected Filler, Asphalt, Binder 67 Cellulose 3 TUWA - PROP -003 1 Tan brittle material with paint None detected Paint, Filler, Binder 2 Cellulose 4 TUWA -PROP -004 1 Beige /brown sheet vinyl None detected Vinyl /binder 3 Cellulose 2 Gray fibrous material with mastic None detected Binder /filler, Mastic/binder 70 Cellulose 5 TUWA - PROP - 005 1 Red vinyl 2 Chrysotile Vinyl /binder 2 Cellulose 2 Black asphaltic material with mastic None detected As halt/binder, Filler p 72 Cellulose 6 TUWA - PROP - 006 1 Gray /brown vinyl 2 Chrysotile Vinyl /binder 2 Cellulose 2 Black asphaltic material with mastic None detected Asphalt/binder, Filler p 69 Cellulose 7 TUWA -PROP -007 1 White brittle material with paint None detected Filler, Binder, Paint 2 Cellulose 8 TUWA -PROP -008 1 Yellow /green soft material None detected Filler, Binder 15 Cellulose SEATTLE ASBESTOS TEST, LLC Lynnwood Laboratory: 19711 Scriber Lake Rd. Suite D. Lynnwood, WA 98036: Tet: 425.673.9850. fax:425.673.9810 Bellevue Laboratory 12727 Nonbup Way. Suite 24. Bellevue. WA 98005: Tel: 424.861.1111. Fax: 425.861.1 118 Wehsite: http : / /www.seattleashestnstest.com, E- mail: admin;useattleasbestostest.com Attn.: Mr. Tom Patnode Client: EMR, Inc. Address:2635 151st P1. NE Redmond, WA 98052 Client Job #: 9049.001 Laboratory Batch #: 200960060 Date Received: 8/25/2009 Samples Received: 19 Date Analyzed: 8/25/2009 Samples Analyzed: 19 Project: BNSF TUKWILA NESHAP, WANG /PROCTOR PROPERTY, TUKWILA, WA Analyzed by: Liz Dutton/Weilong Tai ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 931116 NVLAP Accreditation Lab Code: 200768-0 Report reviewed by: Steve (Fanyao) Zhang, President Lab ID j Client Sample ID Layer Description oy, Fibers Asbestos Non - Fibrous Components , Non- asbestos Fibers 2 Tan paper with mastic None etected Filler, Binder, Mastic/binder 70 Cellulose 3 Yellow vinyl None detected VinyVbinder 2 Cellulose 4 Black asphaltic fibrous material with mastic None detected Asphalt/binder, Mastic/binder 68 Cellulose 9 TUWA - PROP - 009 Beige /brown square patterned sheet vinyl None detected VinyVbinder y 2 Cellulose 2 Gray fibrous material with mastic None detected Binder /filler, Mastic/binder 68 Cellulose 10 TUWA -PROP -010 1 Brown /tan vinyl None detected VinyVbinder 2 Cellulose 2 Black/brown asphaltic material with mastic None detected Asphalt/binder, Filler 69 Cellulose 11 TUWA- PROP -011 1 Light pink/white sheet vinyl None detected Vinyl/binder None detected 2 Gray fibrous material w mastic None detected Binder /filler, Mastic /binder 73 Cellulose 12 TUWA -PROP -012 1 White powdery material with paint and paper 2 Chrysotile Binder /filler, Paint 27 Cellulose 2 White chalky material with paper and int None detected Binder /filler Gypsum/binder 25 Cellulose SEATTLE ASBESTOS TEST, LLC Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite D. Lynnwood. WA 9S036: Tel: 425.6739850, Fac:425.673.9810 Bellevue Laboratory: 12727 Northup Way, Suite 24, Bellevue, WA 98005; Tel: 425.861.1111. Far: 425.861.1118 Website: http : / /www.seattleasbestostest.com. E -mail: admin iseattleasbestostest.com Attn.: Mr. Tom Patnode Client: EMR, Inc. Address:2635 151st PI. NE Redmond, WA 98052 Client Job #:9049.001 Laboratory Batch #: 200960060 Date Received: 8/25/2009 Samples Received: 19 Date Analyzed: 8/25/2009 Samples Analyzed: 19 Project BNSF TUKWILA NESHAP, WANG /PROCTOR PROPERTY, TUKWILA, WA Analyzed by: Liz DuttonNVeilong Tai ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 93/116 Page 2 of 3 NVLAP Accreditation Lab Code: 200768-0 Report reviewed by: 'Steve (Fanyao) Zhang, President Lab ID Client Sample ID Layer Description w_ Asbestos Fibers Non - Fibrous Components , Non - asbestos Fibers 13 TUWA - PROP -013 1 an woven fibrous material with paint and mastic None detected Binder/filler, Paint Mastic/binder 78 Cellulose 14 TUWA PROP 014 1 hite chalky material with paper - nd paint None detected Binder /filler, Paint, Gypsum /binder 35 Cellulose 15 TUWA-PROP-015 1 hite brittle material ith paint None detected Filler, Paint 14 Cellulose 16 TUWA - PROP -016 1 hite sandy /brittle material None detected Sands, Filler 7 Cellulose 17 TUWA -PROP -017 1 Gray mastic with paper and plastic material None detected Mastic/binder, Filler Plastic 2 Cellulose 18 TUWA -PROP -018 1 Gray cementitious material with mastic nd red brittle material 18 Chrysotile Cement/binder, Mastic/binder, Binder, Filler 5 Cellulose 19 TUWA PROP 019 !with brittle material 1 mastic None detected Mastic/binder, Filler 7 Cellulose Page 3 of 3 SEATTLE ASBESTOS TEST, LLC NvLAPAccreditation Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite D, Lynnwood. WA 98036; Tel: 425.673.9850, Fax:425.673.9810 Lab Code: 200768 Bellevue Laboratory: 12727 Northup Way, Suite 24. Bellevue, WA 98005; TeL 425.861.1111, Fax: 425.861.1118 Website: http : / /www.seattleasbcstostest.com, E -mail: admin@scattleasbestostest.com Client Job #: 9049.001 Laboratory Batch #: 200960060 Date Received: 8/25/2009 Samples Received: 19 Date Analyzed: 8/25/2009 Samples Analyzed: 19 Project BNSF TUKWILA NESHAP, WANG /PROCTOR PROPERTY, TUKWILA, WA Attn.: Mr. Tom Patnode Client: EMR, inc. Address:2635 151st PI. NE Redmond, WA 98052 ANALYTICAL LABORATORY REPORT PLM by Method EPAI600 /R- 93/116 Analyzed by: Liz DuttonlWeilong Tai Report reviewed by: Steve (Fanyao) Zhang, President SEATTLE ASBESTOS TEST. LLC Page 1 19711 Scriber Lake Road, Suite D, Lynnwood, WA 98036, Tel: (425) 673 -9850, Fax: (425) 673 -9810 website: www.seattleasbestostest.com, Email :admin @seattleasbestostest.com Attention: Mr. Tom Patnode Client: EMR, Inc. Address: 2635 151st PI. NE, Redmond, WA 98052 Project: BNSF TUKWILA NESHAP, WANG /PROCTOR PROPERTY, Sample Requested for Point—Count Previous Analytical Information Point Count Analytical Procedures Point Count Summary Results PLM by Point Count (400) TUWA- PROP -012 Type of Asbestos: Chrysotile Percentage of Asbestos:O.75% Client Job #: Laboratory Batch #: Date Received: Samples Received: Date Analyzed: Samples Analyzed: Client Project #: TUKWILA. WA Previously Analyzed by: Seattle Asbestos Test, LLC Previous Batch #:200960060 Previous Lab ID:12 Previous Description: White powdery material with paint and paper Layer to be Point Counted:1 Asbestos Type Found: Chrysotile Asbestos Percentage Found:2% New Lab ID: Sample Description: White powdery material with paint and paper NVLAP ACCREDITATION LAB CODE: 200768-0 1 9049.001 200960078 8/26/2009 1 8/26/2009 1 NIA Analyzed by: Weilong Tai Reviewed by: Steve (Fanyao) Zhang, President Asbestos Points Non- Asbestos Points Total Points Counted Slide 1 50 50 Slide 2 0 50 50 Slide 3 1 49 50 Slide 4 1 49 50 Slide 5 1 49 50 Slide 6 0 50 50 Slide 7 0 50 50 Slide 8 0 50 50 Total 3 397 400 SEATTLE ASBESTOS TEST. LLC Page 1 19711 Scriber Lake Road, Suite D, Lynnwood, WA 98036, Tel: (425) 673 -9850, Fax: (425) 673 -9810 website: www.seattleasbestostest.com, Email :admin @seattleasbestostest.com Attention: Mr. Tom Patnode Client: EMR, Inc. Address: 2635 151st PI. NE, Redmond, WA 98052 Project: BNSF TUKWILA NESHAP, WANG /PROCTOR PROPERTY, Sample Requested for Point—Count Previous Analytical Information Point Count Analytical Procedures Point Count Summary Results PLM by Point Count (400) TUWA- PROP -012 Type of Asbestos: Chrysotile Percentage of Asbestos:O.75% Client Job #: Laboratory Batch #: Date Received: Samples Received: Date Analyzed: Samples Analyzed: Client Project #: TUKWILA. WA Previously Analyzed by: Seattle Asbestos Test, LLC Previous Batch #:200960060 Previous Lab ID:12 Previous Description: White powdery material with paint and paper Layer to be Point Counted:1 Asbestos Type Found: Chrysotile Asbestos Percentage Found:2% New Lab ID: Sample Description: White powdery material with paint and paper NVLAP ACCREDITATION LAB CODE: 200768-0 1 9049.001 200960078 8/26/2009 1 8/26/2009 1 NIA Analyzed by: Weilong Tai Reviewed by: Steve (Fanyao) Zhang, President Test, LLC CHAIN -OF- CUSTODY: ASBESTOS MANAGEMENT Lab Report No: F' O. No. Lab. Project Name: Lab. Project No. F'roject No. � ) 1 7 --/- �;� -, 1 1 Project!Client Name: , S F l t( 1444 , Sri f\ _ ti 1) a El Hr. ❑ 48 Hr. rum Around Time (Check one) 7'" 24 Fir. Building: t1 J 4 Net /P R OCT OP- i'''0 r i" IQ N ` � In Hr. ❑ 3 -5 Days • 4 Hr. City. State: -lit K I. e l Vi r} • other :(describe) Send t ab Results to: Tom Patnode 2635 151st Place NE, Redmond, WA 98052 Tel: 425.861.4561; tax: 425.869.7820; tpatnode @emr- inc.com ASBESTOS (Bulk) ASBESTOS (Air) Analysis Requested ❑ PLM (EPA Point Ct.) ❑ PLM (EPA Gravimetry) F.:4 PLM (EPA/600,R- 93/116) ❑ PCM • SOILS • TEM (Bulk) ❑ TEM (NIOSH 7402) • TEM (EPA Level II) S.A.T. Lab ID # EMR Sample # Date Time Sample Description Sample Location • 11,4 f4.4 - 'i<'vf' - -CAL ! - . , �lD--, Ijo- ' •5j-'/f • - 11FV•(:;i �s / U F -_, _ _ :- MOW . - - -: - -- / ' , & . !- J`_ • — .. "_ -�` x-1714 �:. A .? y , P " _i:_.47 , . - _ - - - .f_ . � t . c r C • - • + t ` - N ' ' 6 : L � & )c, 3, .;. [c( -r ;, ;NI ? t . t ,i 7'1t777 f / . di.J /Jt/i.)C'/. l " , e• l5 - • l y -/ L i ' L ':.-01A.:::4:7774. 9 ,f - � J 1��/ /3 % /t U�' J1' -. (.74":".1 ri 1� - ' RC ) 4 JjL /.f j.. cer G".� /r='...., f Y ;•:7 L LS s "T f✓ '15 Gr ' ,i L L • "/. •. • � 4., Zi•i.r.,.•- ,2.,.1 c ;r ',- / : "::44:74/ ?J C: , 1 "` A-44 'L x: Z::., . / 03) ,4 L.-� - r � c- S y c - c , - J[ -_ - !. L +2i-h. - e• O- . ;14, 1 . 13,'e , • c bj r ).x A:• / C_ { "( 1 V 47 . r / 1.:.)'L.. �'' fl�.4. Ai'''. ,' c ' `j c_: l i CI' V;'4 ib 15;:4 '..:I3 8 )!-,k' 4*2-1 f i :1 -Y r~ .42, i7• --- 4. C, 1 (2 • . G G I. 61.j '.."-.4. -,4 .. -.-: J e - C - ) ...k-i. 4).... N vi `' 1 . 1r1 Sam ed b Relinquished b : Received b nt be „ + Sign -Below Company Date c?-- ZS -e Time ffil g IIIIIII ' Anal ed b : R/IP' Results Faxed by: 1111�11 SPECIAL INSTRUCTIONS: Ship To: 19711 Scriber Lak: Road Suite D Lynnwood, WA 98036 Ph# 425,673 9850 Fax# 425.673.9810 ATTN: Steve Zhang SEND INVOICE TO: Name: Company: Address: City. State, Zip: Torn Patnode EMR, Inc. 2635 151st Place NE Redmond, WA 98052 Condition of Package upon Receipt: ❑ good ❑ damaged • severe damage Seattle Asbestos REQUEST FOR LABORATORY ANALYTICAL SERVICES/ acc ooei; Page: 1 or Project No. ,•, _;i � ' ( / • Project/Client Name: <); : '"% •, i I,_', A./ i'1 SA, /,' -' • 1 Hr. Build /' e et ' C::: ' City, State: - ;i -.• i...). ! 1 ,4. 13 48 Hr. Send Lab Results to: Tom Patnode 2635 151st Place NE, Redmond. WA 98052 Tel: 425.861.4561: fax: 425.869.7820; tpatnode @emr- inc.com ASBESTO ASBEST S.A.T. Lab 10 # EMR Sample # Date Time Sample Desi 1i', 1.C v it"- E' .. ' { 4. C 1 a 6 LS -a'i - 7.497 6 '- -Lll'r Print Wow r--- -. Sign Below Sampled by: .a - -�, - • - L ,i /.� . t%'r7 1.. ‘+.it= lc'•iL Relinquished by: � y -- -' . Received by: `� i • - ) .� -� ``' . - �? Analyzed by: L_ t2°1-) �__ f-- ---% Results Faxed by: � ���~ SPECIAL INSTRUCTIONS: SEND INVOICE TO: Name: Tom Patnode Company: EMR, Inc. Address: 2635 151st Place NE City. State, Zip: Redmond, WA 98052 Condition of Package upon Receipt • good ❑ damaged • sevei Seattle Asbestos REQUEST FOR LABORATORY ANALYTICAL SERVICES/ Test, LLC CHAIN -OF- CUSTODY: ASBESTOS MANAGEMENT Page: Lab Report No: PD. No: Lab. Project Name Lab. Project Nu. Turn Around Time (Check one) ❑ 2 Hr. • 4 Hr. 24 Hr. ❑ 3 -5 Days ❑ other:(describe) Analysis Requested Ik) gi PLM ❑ PLM (EPA Point Ct.) • PLM (EPA Gravimetry) (EPA/600/R- 931116) • SOILS • TEM (Bulk) .ir) ❑ PCM • TEM (NIOSH 7402) • TEM (EPA Leve111) on Sample Location '� • ,2 / /Cr:0. ,__ -. - :,t , ir' `4(.. • /c,_.,,, _ ._ . • •il.- ' .5 ,4: t-. ik. d [ .,G> i ✓di. C_- Company Date Time l r 1 ' ' w1- �r. ( de,, I 111 r — Ship To: 19711 - Scriber Lake Road Suite D Lynnwood, WA 98036 Ph# 425.673.9850 Fax# 425.673.9810 ATTN: Steve Zhang — rage Page: Lab ID ( Client Sample ID Layer Description % Asbestos Non - Fibrous Fibers Components ° � Non- asbestos Fibers 1 TUWA - WILP -001 1 Gray brittle material with paint 3 Chrysotile Paint, Filler. Binder 2 Cellulose 2 TUWA- WILP -002 1 Black asphaltic fibrous material None Filler, Asphalt, Binder detected 67 Cellulose 3 TUWA -WILP -003 TUWA - WILP -004 1 Black asphaltic material with sand None detected None detected lAsphalt/binder, sphalt/binder, Sand Sand 24 21 Glass fibers Cellulose 4 1 Black asphaltic material with sand 5 TUWA -WILP -005 1 Black asphaltic fibrous material None detected Filler, Asphalt, Binder 70 Cellulose 6 TUWA -WILP -006 1 Off -white brittle material None detected None detected Filler, Binder Vinyl /binder 2 Cellulose None detected 7 TUWA - WILP -007 1 Beige/brown sheet vinyl 2 Gray fibrous material with mastic 61 Chrysotile Binder /filler, Mastic /binder 34 Cellulose 8 TUWA -WILP -008 1 Gray cementitious material with paint 17 Chrysotile Cement/binder, Paint 5 Cellulose 9 TUWA-WILP-009 1 Light -pink chalky material aint 1 th paper P None detected Binder /filler, Paint, Gypsum/binder Cellulose, 35 +Glass fibers 10 TUWA - WILP -010 1 Gray /white tile None detected 'Vinyl/binder, Mineral grains 2 Cellulose SEATTLE ASBESTOS TEST, LLC Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite 1), Lynnwood, WA 98036; Tel: 425.673.9850, Fax:425.673.91110 Bellevue Laboratory: 12727 Northup Way, Suite 24, Bellevue, WA 98005; Tel: 425.861.1111, Fax: 125.861.1118 Wcbsite: httpJ /www.scatticashcstostcst.com, E- mail: adminriseatticasbestostest_com Attn.: Mr. Tom Patnode Client:EMR, Inc. Address:2635 151st Pl. NE Redmond, WA 98052 ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 93/116 Project: BNSF TUKWILA NESHAP, WILKINSON PROPERTY, TUKWILA, WA Analyzed by: Liz Dutton/Weilong Tai c.. Client Job #:9049.001 Laboratory Batch #: 200960074 Date Received: 8/25/2009 Samples Received: 14 Date Analyzed: 8/26/2009 Samples Analyzed: 12 Page 1 of 2 NVLAP Accreditation Lab Code: 200768 -0 Report reviewed by: Steve (Fanyao) Zhang, President Lab ID Client Sample ID Layer Description Asbestos Fibers Non - Fibrous Components % Non - asbestos Fibers 2 Yellow mastic None detected Mastic/binder 4 Cellulose 11 TUWA -WILP -011 1 Gray/white sheet vinyl None detected Vinyl /binder None detected 2 Gray fibrous material with trace mastic None detected Binder /filler, Mastic/binder 69 Cellulose 12 TUWA -WILP -012 1 White powdery material with paint and paper 2 Chrysotile Binder /filler, Paint 19 Cellulose 13 TUWA -WILP -013 Sample not analyzed 14 TUWA - WILP -014 Sample not analyzed SEATTLE ASBESTOS TEST, LLC Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite D, Lynnwood, WA 98036; Tel: 425.673,9850. Fax :425.673.9810 Bellevue Laboratory: 12727 Northup Way, Suite 24, Bellevue, WA 98005; Tel: 425.861.1111. Fax: 425.861.1 118 Website: hnp :llwww.scattleasbestostest.com, E -mail: admin /useattleasbestostest.com Attn.: Mr. Tom Patnode Client: EMR, Inc. Address:2635 151st Pl. NE Redmond, WA 98052 ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 93/116 Project BNSF TUKWILA NESHAP, WILKINSON PROPERTY, TUKWILA, WA Page 2 of 2 NVLAP Accreditation Lab Code: 200768-0 Client Job #:9049.001 Laboratory Batch #: 200960074 Date Received: 8/25/2009 Samples Received: 14 Date Analyzed: 8/26/2009 Samples Analyzed: 12 Analyzed by: Liz Dutton/Weiiong Tai Report reviewed by: Steve (Fanyao) Zhang, President SEATTLE ASBESTOS TEST, LLC Page 1 19711 Scriber Lake Road. Suite 0, Lynnwood, WA 98036, Tel: (425) 673 -9850, Fax: (425) 673 -9810 website: www.seattleasbestostest.com, Email :admin @seattleasbestostest.com Attention: Mr. Tom Patnode Client: EMR, Inc. Address:2635 151st PI. NE, Redmond, WA 98052 Project: BNSF TUKWILA NESHAP, WILKINSON PROPERTY, TUKWILA, WA Sample Requested for Point Count TUWA- WILP -012 Previous Analytical Information Point Count Summary Results PLM by Point Count (400) NVLAP ACCREDITATION LAB CODE: 200768-0 Client Job #: 9049.001 Laboratory Batch #: 200960077 Date Received: 8/26/2009 Samples Received: 1 Date Analyzed: 812612009 Samples Analyzed: 1 Client Project #: N/A Previously Analyzed by: Seattle Asbestos Test, LLC Previous Batch #:200960074 Previous Lab ID:12 Previous Description: White powdery material with paint and paper Layer to be Point Counted:1 Asbestos Type Found: Chrysotile Asbestos Percentage Found:2% Point Count Analytical Procedures 1 Type of Asbestos: Chrysotile Percentage of Asbestos: 0.75% New Lab ID: Sample Description: White powdery material with paint and paper Analyzed by: Weilong Tai Reviewed by: Steve (Fanyao) Zhang, President Asbestos Points Non - Asbestos Points Total Points Counted' Slide 1 1 49 50 Slide 2 0 50 50 Slide 3 0 50 50 Slide 4 0 50 50 Slide 5 1 49 50 Slide 6 0 50 50 Slide 7 1 49 50 Slide 8 0 50 50 Total 3 397 400 SEATTLE ASBESTOS TEST, LLC Page 1 19711 Scriber Lake Road. Suite 0, Lynnwood, WA 98036, Tel: (425) 673 -9850, Fax: (425) 673 -9810 website: www.seattleasbestostest.com, Email :admin @seattleasbestostest.com Attention: Mr. Tom Patnode Client: EMR, Inc. Address:2635 151st PI. NE, Redmond, WA 98052 Project: BNSF TUKWILA NESHAP, WILKINSON PROPERTY, TUKWILA, WA Sample Requested for Point Count TUWA- WILP -012 Previous Analytical Information Point Count Summary Results PLM by Point Count (400) NVLAP ACCREDITATION LAB CODE: 200768-0 Client Job #: 9049.001 Laboratory Batch #: 200960077 Date Received: 8/26/2009 Samples Received: 1 Date Analyzed: 812612009 Samples Analyzed: 1 Client Project #: N/A Previously Analyzed by: Seattle Asbestos Test, LLC Previous Batch #:200960074 Previous Lab ID:12 Previous Description: White powdery material with paint and paper Layer to be Point Counted:1 Asbestos Type Found: Chrysotile Asbestos Percentage Found:2% Point Count Analytical Procedures 1 Type of Asbestos: Chrysotile Percentage of Asbestos: 0.75% New Lab ID: Sample Description: White powdery material with paint and paper Analyzed by: Weilong Tai Reviewed by: Steve (Fanyao) Zhang, President Test, LLC CHAIN -OF- CUSTODY: ASBESTOS MANAGEMENT Lab Report No. P.O Nu. Lab. Project Name: Lab. Project No. Project No. i... ■ ' 1 '■." , _ Project/Client Name: 1 r; . 1,A I r - / Turn Around ❑ 2 Hr. ❑ 3 -5 Days Time (Check one) 24 Ilr. Building: /lj51:rJ 1 iZ .' ' T ■ 4 Hr. n City. Slate_ 1 v K� 4 ! L (-I 1 ;,� r - 1 • 48 Hr. • other(describe) Send Lab Results to Tom Palnode 2635 151st Place N1 , Redmond. 1NA 98052 Tel. 425.861.4561: fax: 42.5. 869.782.0: tpalnode@emr-:nc.com Analysis ASBESTOS (Bulk) © PLM (EPA/600/R- 93/116) ASBESTOS (Air) ❑ PCM Requested • PLM (EPA Point CI.) • PLM (EPA Gravimetry) • SOILS • I EM (Bulk) ❑ TEM (NIOSH 7402) • TEM (EPA Level II) S.A.T. Lab ID # EMR Sam .le # Date Time Sample Description i.; t » NA. - Sample Location 1 = "KT C ; C re_ L. 4 , f) ' . LC id - IA, L -' • - Ci0 PM= ! O i Z. Oa - :.I ("S /(t c,('r/JCi FED 1 ' r . 7 P1/ V r - 5f : --Ali j L -- /1 a1 f lz.. ~ %v,- r 7 , Se ..' ei i r . , �.4 ( -0 C.L F /.'. 1'l 1 C•I' iY i) :":- CI ---- _ .r /,..o .7J '1_ -T _ ' If- I- -,, 44. / =, le iS '.en IC- (',:,,- -ri i - . - v.•: h/'Y'c._ J1 4.7 (-- S (. .i.-J> A /714i. C' Alcul6� Et 4. g.'� - -� C t, 6 . . ta:. s `4 _,l..s7r t-/ K U'iC!! ='iC • -- - tv-'r) fi%I`c' z:',1.-;4" k Y2 ai`•1t L.- YiG :5#11:x2 • iii = - fi _ " (. / %. L/ -/-e7y 6u..9 - 1.—.. L" 1 11111111111 -�� .,.a 2- -< l L;r,: 774,-j 44 9-7 --;;17 i • - 1r r• i , 1(._.. , ii, , f 3.77)i or r 1.:4 -. t rte: i /7 /.t "• .:. - ,� - -- L.., / e i 2. ci .S'• � c4 .4 -4 - c. ., 4_. /0•,.x6, fc�.L� -, /9 „ ' ._. i....61ie - Time C 4:71Z77 Prjt t Below Sig elow Company Date Sampled by: J = i� / - P Z` i� ` :: ---, L 7).:,,,-e - -1,1 -, . o 25 'v Relinquished by: Received by: 1 a � 4 ” /"--_—_--7/41----7 i n� . f) u. Al ` �!�/' Zi ��i �[1•/l�Jl h ':� e-- - n -- 1 Analyzed by: � . - Results Faxed by: SPECIAL INSTRUCTIONS: 5 ? t y a /.,./ i� -/ j ( ',$, / ./ • �' ( 2.- 77-4(4. U J Ship To: 19711 Scriber Lakg Road Suite D Lynnwood. WA 98036 Ph# 425.673.9850 Fax# 425.673.9810 ATTN: Steve Zhang SEND INVOICE TO: Name: Company. Address: City, State, Zip: Tom Patnode EMR, Inc. 2635 151st Place NE Redmond, WA 98052 Condition of Package upon Receipt: • good • damaged ❑ severe damage Seattle Asbestos REQUEST FOR LABORATORY ANALYTICAL SERVICES/ Page: 1 OF 1 APPENDIX D - NOTIFICATIONS (S) I. Tvpe of notification 0= 0ripina. R =Re se': C= Carxelled'I: Ft. Facility information ►'dentfy cwr, e , removal contractor, arc other ac arc': Owner name: Address: City. I State: Zip: Contact Phone #: Removal contractor: Address: City: 1 State: I Zip: Contact Phone*: Other operator: Address: City. 1 Mate: Zip: Contact Phone*. III. Type of operation ;D =I ernot :ten O=Ordered Demolition R =Rencvatcn E= Erneruency Renovation:: N. Is asbestos present? ;Yes1No :c V. Facility description (Ine ude bulding name. number and floor or mom number) Bcg. Name: Address: City. 1 State: 1 County. Sate Location: Budding Sine: ? of Floors: 1 Age in Years Present Use: Prcr Use: VI. Procaaure used to dated the preeenoe or aeneetoe containing material (ACM). Including analytical method tr appropnate: VII. Approximate amount of asbestos present inducing: 1. Regulated ACM to be Removed 2 Category! ACM Not Removed 3_ Caegory i! ACM Not Removed RACM To Be Removed Ncnfriatle Asbestos Material Not To Be Removed Indicate Unit of Measurement Bebw Category 1 Category •1 UNIT Pipes LnFt La M: Surface Area SgFt So A!: Vol RACM Off Fact Component CtrFt: Cu M: VIII. Scheduled dates of asbestos removal ; The simians mist ee at Is= ten :1C) wars re ]ays far Tls errs pcsbnant oak Want: r';t ih s Ma reap ci m a pre. ors retrials► r) nn s an er S :I ;Tr aatcn, a 0) seminar wM cr]rC by a she m Deal aa'.enmrt apwr trecare the Atlrty Is seurtraty unscu' c and n ]mar at mrr. ne carcpse.t Start date: Completion date: IX. Scheduled dates of demolitionlrenovalion lire mime man x an :cam an ;171 wore ar»fr --. its ante posanas ede unis 1 i rests 's a rev sal m e mites r.D:f is . l:. It s Is an sreryexy renvollr cr t3: d7:at ace was waled 31 a s" a'eez Dworr•.-ent Men: aecause Ina ►seta 5 sh r.Etratt uncut] and n draeraf ter nail carcase.; Start date: Completion date: For Agency Use Orly 3 Postmark Date: Received Date: Asbestos Notification of Demolition and Renovation ECY 070 -87 (Rev. 3 1 2 0 0 7 ) If you need Iris publication In an Cher format pease call Tani Danger 13fUr 207 -E803. ?errata wth rearing loss can cAl 711 to vr'asriin;ton Regal service. Perecre wttn a speech daaatitty cat cal 877 - 93343:41. X. Describe the planned demolition or renovation work and the methods you will use: XI. Describe the work practices and engineering controls you will use to prevent emission of asbestos at the demolition or renovation site: XII. Waste transporter Narre: Address: City: 1 State: Contact Person: Z :: Phone #t XIII. Waste disposal site Name: Location: City: 1 State: 1 Zo: Tel: XIV. If demolition was ordered by a government agency, please identify the agency below: Nam *: 1 Ttle: Auth Date of order iMM: DDYY;: 1 Cale orderer. tc bean i MMtDDYY;: XV. For emergency renovations Date arc hour of emergency iMM'DDIYY,: Descr*e the sudden unexpected event Explanation of how the event caused unsafe conditions or would cause ec' pme^t came o an unreasonable Manta! burden: XVI. Describe the procedures you will follow if unexpected asbestos is found; or if previously nonfriable asbestos material becomes crumbled. pulverized, or reduced to power: XVII. 1 certify that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on -site during the demolition or renovation. Evidence that this person has had the required training will be available for inspection during normal business hours. I certify that the above information is correct. (.7;gnctrre Cif Cwre pera: t (Cots) In Chelan, Douglas, Kittitas Klickitat and Okanogan counties, send the notification to: Air Quality Program Department of Ecology, Central Regional Office 15 West Yakima Avenue, Suite 200 Yakima, WA 98902 -3401 Phone: (509) 575 -2490 Fax: (509) 57e-2809 In Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lincoln, Pend Oreille, Stevens, Walla Walla and Whitman counties, send the notification to: .Air Quality Program Department of Ecology, Eastern Regional Office 4e01 North Monroe Street Spokane, WA 99205 -1295 Phone: (509) 329 -3400 Fax: ( 509) 329 -3529 In San Juan County, send the notification to: .Air Quality Program Department of Ecology, Northwest Regional Office 3190 160 Avenue SE Bell ewe, WA 9ii008 -5452 Phone: (425) 649 -7000 Fax: (425 ) 649 -7098 In any county not listed, contact your local air quality agency for assistance. Asbestos Inspector Refresher Training Course Divid=_1_, Welsch Course Approval Number: CA-003-06 nvIron: ____:er a raining has successfully completed the Asbestos Inspector Refresher course approved by the California Division of Occupational Safety and Health for purposes of certification required by Title 8, Article 2.7 Chapter 3.2, Section 341.16 and the accreditation required under the Toxic Substances Control Act, Title II. Conducted by M &C Environmental Training, Inc., 1619 Beverly Place, Berkeley, California 94707. Tel. #(510) 525 - 1388 Location: Reno, Nevada Dates: December 3, 2008 Director of Training: John McGinnis .14 Expiration: December 3, 2009 Certificate Number 25466 IR ' 77■SM-S/th::.'ia - rtriffill4a? 'VW it AVY, Vc t t - 141. , t. 2ir • • ..4„„ (" • .:.■• F•• /.77.•■ • "Anea.V • • •„:„.4 7.4 • • vs v • 44. A Z, \ IF' iduit t.• it Ntimi Certtfit 'attoWenvlaqi - 7%7 - • Sr.: 4 ‘.,13.417 • Instructor r e ° t Et, AY V41"41r.41 e k \l ^tArge - vge4 Avintsn.-. :act " v -- a (") • ONtLrt. n Certificate Number: 10303315 Elit5 i5 to rertifp that Shannon K. Adamson ija 5ati5factoritp rompleteb 4 bour5 of refre5ber training a5 an Asbestos Building Ins , Lector to comph) With the tratimui requirements' of tr 'Taft / 40 CjilA 7(33 (:albea.:f.n) ti Dcc H). 2.008 1);th'i 1 Nam N..\ tt ii 1)alc: 1(), 2(it)t) f_.21j hit • I 'MO \\ NItAl.j`• • Si:t \V • I 19 • I 1 0(n 2S 1 • III\ 'WO 4,631)Zti"ci.,■ • • '' .24 14 • et2.4 -a,r,tir,63i,Lts,-- egvtak,,,-..=,mgy 1 Pr• ) .:41 )■! t.■ Tit Approved Transaction • Fee Amount Paid $75.00 Credit Card Transaction # VPFF4AA73691 Transaction Date 09/15/09 Owner's Name BNSF Railway Project Street Address 12084 44th Place South City Tukwila Contact Person Sam Phanekham Mailing Address 2600 Lou Menk Drive Ft. Worth, TX 76131 Create Another Notification If you have questions, contact us at asbestos@pscleanalr.org or 206.689.4058. Phone (817) 867 -6132 Zip 98178 Phone (817) 867 -6132 RECEIVED CITY OF TUKWWIA OCT 2 7 2009 https: / /secure.pscleanair.org /Asbestos /ApproRNIT CENTER • Page 1 of 1 pscleanair.org Pu 5o r . • • i • Ayan {v Notification Case #: 200902095 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). This project Includes a demolition. Demolition Start Date 09/30/09 Completion Date 10/30/09 Demolition will be completed by a demolition contractor Demo Contractor Derrick Construction Industries, Inc. Contractor Job # Contact Shane Johnson Phone (952) 894-0012 Mailing Address 7217 W. 128th St. Savage, MN 55378 (1) I certify that the Information I have provided is to the best of my knowledge true and accurate. (2) I understand that I must file an Amendment to this Notification if to The type of project has changed. The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The project's start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single- family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. CORRECTION LTR# 9/15 PUBLIC WORKS DEPARTMENT COMMENTS DATE: September 30, 2009 PROJECT: BNSF Demo 12084 44 Place S PERMIT NO: D09 - 204 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) The applicant shall contact Mr. Richard Takechi, Tukwila Finance Department at (206) 433- 1870 and pay the outstanding storm water bill. 2) Applicant shall submit a copy of Puget Sound Air Pollution Control Agency (PSAPCA), contact Mr. Tom Hudson, phone (206)689 -4025. 3) Sanitary sewer service shall be capped at the property line 4) Provide a construction cost estimate for site work associated with this demolition to include erosion control, sanitary sewer capping, water service capping and roadway restoration associated with water service capping. Fill item #3 of the first page of out the attached PW Bulletin A2. 5) For work inside the City Right of Way the applicant shall submit items highlighted in PW Bulletin A4. Joanna: Comments 1 D09 -204 CITY OF TU OCT 2 7 2009 PERMIT CENTER 1,O q 21y.4 3) Public Works records show that the water service has been turned off already but the water meter is still in the ground. Existing water service shall be capped art the existing 8" water n main in the street and a repair band shall be put on. On you plan please show location of the p L water ( la 8" water main per attached City plan. A pavement mitigation fee will be assessed I (Ae. - C prior to final permit sign -off for disturbed roadway pavement. ` MO W opal. I �) eo_t) Pat Mtac (',U,Stck CORRECTION LTR# October 5, 2009 Dean Johnson 6903 Grange Rd NW Bemidji MN 56601 • ity Department of Community Development RE: CORRECTION LETTER #1 Development Permit Application Number D09 -204 BNSF Demo —12084 44 PI S Dear Mr. Johnson, This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Public Works Department. At this time the Building, Fire, and Planning Departments have no comments. Public Works Department: Joanna Spencer at 206 431 -2440 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) complete sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3670. Sincerely, wer Bill Rambo Permit Technician encl File No. D09 -204 WA Permit Ccnter \Correction Letters\2009\D09 -204 Correction Letter # 1.DOC Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 6 Tukwila, Washington 98188 e Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • • PUBLIC WORKS DEPARTMENT COMMENTS DATE: September 30, 2009 PROJECT: BNSF Demo 12084 44 Place S PERMIT NO: D09 - 204 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) The applicant shall contact Mr. Richard Takechi, Tukwila Finance Department at (206) 433 -1870 and pay the outstanding storm water bill. 2) Applicant shall submit a copy of Puget Sound Air Pollution Control Agency (PSAPCA), contact Mr. Tom Hudson, phone (206)689 -4025. 3) Sanitary sewer service shall be capped at the property line 3) Public Works records show that the water service has been turned off already but the water meter is still in the ground. Existing water service shall be capped art the existing 8" water main in the street and a repair band shall be put on. On you plan please show location of the existing 8" water main per attached City plan. A pavement mitigation fee will be assessed prior to final permit sign -off for disturbed roadway pavement. 4) Provide a construction cost estimate for site work associated with this demolition to include erosion control, sanitary sewer capping, water service capping and roadway restoration associated with water service capping. Fill item #3 of the first page of out the attached PW Bulletin A2. 5) For work inside the City Right of Way the applicant shall submit items highlighted in PW Bulletin A4. Joanna: Comments 1 D09 -204 ACTIVITY NUMBER: D09 - 204 DATE: 10 -27 -09 PROJECT NAME: BNSF DEMOLITION SITE ADDRESS: 12084 44 PL S Original Plan Submittal X Response to Correction Letter # 1 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Building Division .5 Awc Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUTING: Please Route ❑ Structural Review Required ❑ REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2.28 -02 egERNt {T COORTI COPY PLAN REVIEW /ROUTING SLIP 1 Fire Prevention Structural Incomplete ❑ Planning Division ❑ Permit Coordinator ❑ DUE DATE: 1 0-29-09 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required n DATE: DUE DATE: 11-26-09 Approved n Approved with Conditions n Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: n n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: • PLAN ACTIVITY NUMBER: D09 -204 PROJECT NAME: BNSF DEMO SITE ADDRESS: 12084 44 PL S X Original Plan Submittal Response to Correction Letter # DATE: 09 -28 -09 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: 17 AVNIG off• Building ivision 1 uM o Public or<s Complete Documents /routing slip.doc 2 -28 -02 AA"i - a'�� Fire Prevention APPROVALS OR CORRECTIONS: Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09 -29-09 Incomplete • par /RO TING SLIP SM Planning Division n Permit Coordinator Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route N Structural Review Required n No further Review Required n REVIEWER'S INITIALS: DATE: DUE DATE: 1 0-27-09 Approved n Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: t S "� 1 Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PWIr Staff Initials: tout 1 REVISION SUBMITTAL 1 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 10 - / 7- ?) 7 Plan Check/Permit Number: DO ai � ❑ Response to Incomplete Letter # /vz- 9 (-/ 14 Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: 1n) v vi Project Address: ' t /ytk Contact Person: 414.. Summary - ofRevision: F-7 6/ crt1 6.-T) 4 O i : w e i i -� dC - k/ ■ 't S e7r6 -k . P etr1044- 04' f Cap .. ejtod Sheet Number(s): • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us "Cloud" or highlight all areas of revision including date of revision ) D 272- jo2 Phone Number: Z I J' - 7.G 6- 96 20 ' - Case *zoos 21) wee 3 r KttitIVtl) CITY nF TI IKIM A OCT 2 7 2009 'ER MIT CENTER Received at the City of Tukwila Permit Center by: �WJIV' 1)6 Entered in Permits Plus on \ applications \forms - applications on tine \revision submittal Created: 8 -13 -2004 Revised: 1 -2009 Insurance Bond Bond Effective Expiration Cancel Impaired Bond Received Bond Company Name Account Number Date Date Date Date Amount Date 1 NORTH DTC0682113756T1A05 /01/200805/01/2010 $1,000,000.0005 /04/2009 1 AMERICAN 2 090071 09/16/2008 Until $12,000.00 09/22/2008 SPEC INS Cancelled CO Insurance Company Name policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date SECRETARY TRAVELERS JOHNSON, WADE VICE PRESIDENT 09/23/2008 1 INDEMNITY DTC0682113756T1A05 /01/200805/01/2010 $1,000,000.0005 /04/2009 CO OF AME Name Role Effective Date Expiration Date JOHNSON, LARRY D PRESIDENT 09/23/2008 JOHNSON, KATHLEEN SECRETARY 09/23/2008 JOHNSON, WADE VICE PRESIDENT 09/23/2008 Untitled Page General /Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company DERRICK CONSTR INDUSTRIES INC 9528940012 7217 W 128TH STREET SAVAGE MN 55378 OUT OF STATE Corporation UBI No. 602628533 Status ACTIVE License No. DERRICI92403 License Type CONSTRUCTION CONTRACTOR Effective Date 9/22/2008 Expiration Date Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED 9/22/2010 Business Owner Information Bond Information Insurance Information • 1 Page 1 of 1 https://fortress.wa.gov/lni/bbip/Detail.aspx 11/16/2009